KENNETH MICHAEL KNAPP

POCATELLO, ID
NPI1568802569
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  RNA-878A)
Enumeration Date2013-07-05
Last Update Date2013-10-03
Business Address
Mr. KENNETH MICHAEL KNAPP CRNA
333 N 18TH AVE STE A
POCATELLO, ID 83201-3358
Phone number: 208-232-7760
Mailing Address
Mr. KENNETH MICHAEL KNAPP CRNA
PO BOX 4107
POCATELLO, ID 83205-4107
Phone number: 208-232-7760